Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2013
Offers telehealth
NPI: 1922445394
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
29345 SW TOWN CTR LOOP E, SUITE 110
WILSONVILLE, OR 970708486
5035822100
Source: CMS National Downloadable File, September 2026.